The RN is analyzing serum laboratory results for a 73-year-old female client scheduled for surgery in 2 hours. The RN concludes that which result would warrant the most immediate notification of the physician?

Correct Answer: B

Rationale: The correct answer is B: Prothrombin time 22 seconds. This result indicates the client's blood clotting ability, crucial for surgery. A prolonged prothrombin time can lead to increased bleeding risk during surgery, requiring immediate physician notification. A: Potassium level within normal range, not urgent. C: Hemoglobin level slightly low but not immediately life-threatening. D: Creatinine level within normal range, not urgent for surgery.

Correct Answer: C

Rationale: The correct answer is C because a blood pressure of 90/54 mm Hg indicates hypotension, a known side effect of metoprolol. Metoprolol is a beta-blocker that can cause a decrease in blood pressure. Choices A and B are more indicative of anxiety or stress rather than a side effect of metoprolol. Choice D, a normal sinus rhythm on the heart monitor, is a desired outcome and not a side effect of metoprolol.

Correct Answer: C

Rationale: Step-by-step rationale for why Option C is correct: 1. Alpha1-antitrypsin deficiency predisposes individuals to develop chronic obstructive pulmonary disease (COPD). 2. Smoking exacerbates the risk of COPD in individuals with AAT deficiency. 3. By stating, "Your risk for COPD is higher, especially if you smoke," the nurse addresses the patient's concern and provides relevant information. 4. This response acknowledges the connection between AAT deficiency, COPD risk, and smoking, empowering the patient to make informed decisions about their health. Summary of why the other choices are incorrect: A. Incorrect. AAT deficiency does not directly impact the children's risk for COPD; it is the individual who has the deficiency who is at risk. B. Incorrect. While genetic counseling may be beneficial, it does not directly answer the patient's question about the implications of AAT deficiency. D. Incorrect. AAT deficiency can impact the individual's health, especially their

Correct Answer: D

Rationale: The correct answer is D: collaborate with other care providers. In home care, nurses need to work together with other care providers like physicians, therapists, and social workers to ensure comprehensive care for patients. Collaboration promotes effective communication, coordination, and delivery of services. Providing all care and services (choice A) is not feasible for one nurse. Maintaining a clean home environment (choice B) is important but not a core responsibility of nurses. Advising patients on financial matters (choice C) is typically outside the scope of nursing practice.

Correct Answer: B

Rationale: The correct answer is B: to provide care to patients capable of self-care at home. Ambulatory care facilities focus on providing medical services to patients who do not require overnight hospitalization and can manage their care at home. This includes services such as outpatient surgeries, diagnostic tests, treatments, and follow-up care. By choosing option B, it aligns with the primary goal of ambulatory care facilities, which is to offer convenient and cost-effective care to patients who can safely recover at home. Explanation of other choices: A: to save money by not paying hospital rates - Incorrect. While cost-effectiveness is a benefit of ambulatory care facilities, it is not the major goal. C: to perform major surgery in a community setting - Incorrect. Ambulatory care facilities typically focus on minor surgeries and procedures, not major surgeries. D: to perform tests prior to being admitted to the hospital - Incorrect. This goal is more related to pre-admission testing rather than the primary goal of ambulatory care